Scrot/Peritoneal Flashcards

1
Q

What are the boundaries of the inguinal canal?

A

Ant: aponeurosis of external oblique
Post: Postlat: Transversis fascia, Postmedial: conjoint tendon
Roof: Arching fibers of internal oblique and transverse abdominis
Floor: inguinal ligament

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2
Q

What fascia is in the inguinal canal?

A

External/Internal spermatic fascia. Cremasteric fascia and muscle

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3
Q

What arteries are in the inguinal canal?

A
  1. Testicular
  2. artery to vas deferens
  3. artery to the cremaster
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4
Q

What nerves are in the inguinal canal?

A
  1. ilioinguinal
  2. genital branch of genitofemoral
  3. autonomics
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5
Q

What other structures are in the inguinal canal?

A
  1. vas deferens
  2. pampiniform plexus of veins
  3. lymphatics.
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6
Q

What is the difference between visceral and parietal?

A

Parietal: lines body cavities
Visceral: lines organs

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7
Q

How does the greater sac communicate with the lesser sace?

A

Via the epiploic foramen.

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8
Q

What structures are intraperitoneal?

A

liver, stomach, transverse and sigmoid colon, vermiform appendix, spleen, tail of pancreas, first inch of duodenum, jejunum and ileum.

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9
Q

What structures are retroperitoneal?

A

(partially covered by peritoneium): kidneys, ascending/descending colon, pancreas (except tail) duodenum except first inch.

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10
Q

What is the median umbilical ligament a remnant of? Medial umbilical ligament? Lateral?

A
  1. urachus
  2. umbilical artery
  3. inferior epigastric artery
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11
Q

What is the ligamentum teres hepatis a remnant of?

A

the Left umbilical vein.

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12
Q

What are the 6 ligaments on the liver?

A
  1. falciform
  2. coronary
  3. ligamentum teres hepatis
    4/5. R/L triangular ligament
  4. ligamentum venosum
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13
Q

What is the ligamentum venosum a remnant of?

A

the ductus venosus

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14
Q

What part of the duodenum is intraperitoneal?

A

The 1st inch of the superior portion.

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15
Q

What are 3 characteristics of the large intestine?

A
  1. taenia coli
  2. haustra
  3. epiploic appendices
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16
Q

On which vertebral level do the kidneys lay.

A

T12-L3

17
Q

Which renal vein is longer?

A

Left. It crosses in front of the aorta and posterior to SMA.

18
Q

What are the layers of fat around the kidney? Which is deeper?

A

Perirenal- Deeper

Pararenal- superficial

19
Q

What are the suprarenal glands attached to?

A

Crura of the Diaphragm (not the kidneys)

20
Q

What level and what passes through the Caval Hiatus, Esophageal Hiatus, Aortic Hiatus?

A
  1. Caval- IVC, R phrenic nerve, lymph vessels (T8)
  2. Esophageal- Esohagus, R/L Vagus nerves, lymp, esophageal branch of L gastric vessel (10)
  3. Aortic- Aorta, Azygous, Thoracic Duct (T12)
21
Q

What are the parts of the fallopian tube, starting from the interstitium (the aprt that pierces the wall)?

A
  1. Isthmus
  2. Ampulla
  3. Infundibulum
  4. Fimbriae
22
Q

What supports the uterus?

A
  1. Tone of levator ani
  2. Transverse cerival: from lateral cervix and lateral fornix of vagina to pelvic walls
  3. Uterosacral ligaments: Sides of cervix to sacrum
  4. Pubocervical: from cervix to posterior pubis
  5. Round ligament of uterus: from superolateral angle of uterus to labia majora.
23
Q

Where does the lymph from uteran fundus go?

A
  1. Lumbar lymph nodes, but some go to external iliac lymph nodes.
  2. Some run along round ligament to superficial inguinal nodes
24
Q

Where does the lymph from the body of the uterus go?

A

passes with broad ligament to external iliac lymph nodes.

25
Q

Where does the lymph from uterine cervix go?

A

internal iliac, external iliac and sacral nodes.

26
Q

Where does the lymph of the vagina drain for the following parts: 1) superior, 2) middle and 3) lower?

A
  1. Superior: internal/external iliac nodes
  2. Middle: internal iliac nodes
  3. Lower: sacral and common iliac nodes, and some superficial inguinal nodes
27
Q

What are the parts of the prostate?

A
  1. base- close to the neck of the bladder
  2. apex- is in contact with fascia on superior part of urethral sphincter
  3. anterior- separated by pubic symphysis by fat.
  4. posterior- relates to ampulla of rectum
  5. inferolateral- relates to levator ani.
28
Q

What are the lobes of the prostate?

A
  1. anterior: anterior to urethra
  2. posterior: posterior to urethra, inferior to ejaculatory ducts
  3. lateral: either side of urethra, forms major part of prostate
  4. middle: between ejac. ducts and urethra, closely related to neck of bladder